<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8">
		<title></title>
		<style type="text/css">
			#top{
				position:absolute;
				border: 1px #000000 solid;
				width: 500px;
				height: 400px;
				background-color: dimgray;	
				left: 500px;
			}
			table{
				position:absolute;
				left: 90px;
			}
			h4{
				text-align: center;
			}
			tr{
				line-height: 50px;
			}
			body{
				color: gainsboro;
			}
		</style>
	</head>
	<body>
		<div id="top">
			<div>
				<h4>送货地址确认</h4>
				<table>
					<tr>
						<td>省份:</td>
						<td>
							<select style="width: 100px;">
							 <option style="width:400px">北京市</option>
							 <option style="width:400px">河南省</option>
							 <option style="width:400px">河北省</option>
							 <option style="width:400px">陕西省</option>			
							 <option style="width:400px">湖北省</option>
							</select>
						</td>
					</tr>
					<tr>
						<td>市/区</td>
						<td>
							<select style="width: 100px;">
							 <option style="width:400px">海淀区</option>
							 <option style="width:400px">金水区</option>
							 <option style="width:400px">华中区</option>
							 <option style="width:400px">青杭区</option>			
							 <option style="width:400px">北湖区</option>
						</td>
					</tr>
					<tr>
						<td>街道:</td>
						<td><input  type="text" /></td>
					</tr>
					<tr>
						<td>门牌号:</td>
						<td><input  type="text" /></td>
					</tr>
					<tr>
						<td></td>
						<td><input type="button" name="" id="" value="确认" /></td>
					</tr>
				</table>
			</div>
		</div>
	</body>
</html>
